NPI | 1386077170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247200000X Technician, Other (Licence: MD 630107010427145) |
Additional Taxonomies | 247200000X Technician, Other (Licence: MD MT11754) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2013-08-15 |